Nurse Practitioner, Pediatrics
KIA DIAMOND
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1295303261 · enumerated 2021-06-15 · record updated 2024-08-30. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: KIA SMALL
Addresses and phones
- Practice location 92 W MILLER ST, ORLANDO, FL, 32806-2032 (407) 496-9111 Google Maps Apple Maps OpenStreetMap
- Mailing address 92 W MILLER ST, ORLANDO, FL, 32806-2036 (407) 649-9111 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License APRN11011794 FL
- Pediatrics 208000000X · License aprn11011794 FL
In this directory
Locations and evidence
-
Practice location
ORLANDO, FL, 328062032
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.